Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evita Gardner, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1871002352

Evita Gardner, COTA/L is an Occupational Therapy Assistant in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

587 SE Ermine Ave
Lake City, FL 32025-6126
Phone: (386) 752-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 15960 (FL)

Record details

NPI number1871002352
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESSeptember 27, 2017

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